Inadvertent Perforation of a Gravid Uterus During Laparoscopy

Laparoscopic surgery is safe in pregnancy, but is not without risk. Inadvertent uterine perforation of the gravid uterus is a rare complication. Three pregnant women had inadvertent uterine perforation during laparoscopic surgery. All patients were counseled regarding the risks of an "incidental fetoscopy" and elected to continue the pregnancy. Two delivered after preterm premature rupture of membranes at 32 and 36 weeks' gestation, and one twin pregnancy delivered at 30 weeks due to preeclampsia. Surgical planning of the gravid patient undergoing laparoscopic surgery should include demarcation of the most superior aspect of the uterine fundus, either via physical examination or, if not conclusive, via preoperative or intraoperative ultrasound

Giant chorioangioma treated in utero via laser of feeding vessels with subsequent development of multifocal infantile hemangiomas

Submitted by Santos Bárbara ([email protected]) on 2015-03-10T14:52:14Z No. of bitstreams: 1 Giant chorioangioma treated in utero via laser of feeding vessels with subsequent development of multifocal infantile.pdf: 842237 bytes, checksum: d0fdef0ca80282541be02741a92dbf56 (MD5)Approved for entry into archive by Santos Bárbara ([email protected]) on 2015-03-10T14:52:30Z (GMT) No. of bitstreams: 1 Giant chorioangioma treated in utero via laser of feeding vessels with subsequent development of multifocal infantile.pdf: 842237 bytes, checksum: d0fdef0ca80282541be02741a92dbf56 (MD5)Approved for entry into archive by Santos Bárbara ([email protected]) on 2015-03-10T15:26:23Z (GMT) No. of bitstreams: 1 Giant chorioangioma treated in utero via laser of feeding vessels with subsequent development of multifocal infantile.pdf: 842237 bytes, checksum: d0fdef0ca80282541be02741a92dbf56 (MD5)Made available in DSpace on 2015-03-10T15:26:23Z (GMT). No. of bitstreams: 1 Giant chorioangioma treated in utero via laser of feeding vessels with subsequent development of multifocal infantile.pdf: 842237 bytes, checksum: d0fdef0ca80282541be02741a92dbf56 (MD5) Previous issue date: 2015Los Angeles County. Divisão de Medicina Neonatal. Departamento de Pediatria. Los Angeles, CA, EUA. / University of Southern California. Keck School of Medicine. Los Angeles, CA, EUA.Fundação Oswaldo Cruz. Instituto Fernandes Figueira. Departamento de Obstetricia. Setor de Medicina Fetal. Rio de Janeiro, RJ, Brasil.Sharp Rees-Stealy Medical Group. Division of Dermatology. San Diego, CA, USA.Los Angeles County. Divisão de Medicina Neonatal. Departamento de Pediatria. Los Angeles, CA, EUA. / University of Southern California. Keck School of Medicine. Los Angeles, CA, EUA.University of Southern California. Keck School of Medicine. Department of Obstetrics and Gynecology. Division of Maternal-Fetal Medicine. Los Angeles, CA, USA.We report a case of a giant placental chorioangioma (15.6 cm diameter) complicated by polyhy-dramnios and severe fetal heart failure. Fetoscopic laser occlusion of a dominant feeding vessel was performed at 29 weeks’ gestation and partial devascularization was achieved. In the 33rd week of the pregnancy, the decisionwasmade topreemptively deliver the fetus due topersistent signs of fetal cardiac failure. After birth, the infant developed multifocal infantile hemangiomas with extracutaneous involvement. We posit that the development of infantile hemangiomasmay be linked to the presence of the large chorioangioma. Further study is required to ascertain if fetal treatment of the chorioangiomamay have been an exacerbating factor